SANFORD BEMIDJI EAST CLINIC - NPI 1407878424

Q: What is Sanford Clinic North's NPI number?

The NPI number for Sanford Clinic North is 1407878424. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Sanford Bemidji East Clinic.

Q: What is Sanford Clinic North's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

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About Sanford Bemidji East Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANFORD BEMIDJI EAST CLINIC (NPI 1407878424) is a healthcare organization registered as a dermatology in Bemidji, Minnesota and active in the NPI registry since July 2006. The organization lists Martha K Leclerc, Vp, as its authorized official.

NPPES Registry Identity

NPI1407878424

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameSANFORD CLINIC NORTH

Location Address3604 BEMIDJI AVE NBemidji, MN 56601-4333

Mailing Address3604 Bemidji Ave NBemidji, MN 56601-4333 · (218) 333-5111 · Fax (218) 333-5458

Phone(218) 333-5111

Fax(218) 333-5458

Organization SubpartNo

Authorized OfficialMartha K LeclercVp · (701) 234-6248

Enumeration DateJuly 25, 2006

Last NPPES UpdateNovember 27, 2023

✔ NPI 1407878424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

3604 BEMIDJI AVE N, Bemidji, MN 56601

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Other Names 1

Doing Business AsSanford Bemidji East Clinic

Other Identifiers 1

Medicaid194342100MN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAUN MYRE DPT

Physical Therapist